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Permit CITY OF TIGARD %�,� l DEVELOPMENT SERVICES MASTER PERMIT � `'ll�'� PERMIT # • MST97 -0162 ! +�- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 05 / 13 / 97 PARCEL: 2S110CC -01200 SITE ADDRESS...:16070 SW ROYALTY PKWY SUBDIVISION • ZONING: BLOCK LOT • JURISDICTION: KIN Remarks: Reroof BUILDING --- - - - - -- --------------- REISSUE: STORIES • 0 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS -- REQUIRED------ - CLASS OF WORK.:ALT HEIGHT • 0 FIRST 0 sf GARAGE • 0 sf LEFT : 0 SMOKE DETECTRS: TYPE OF USE...:SF FLOOR LOAD • 0 SECOND...: 0 sf FRONT : 0 PARKING SPACES: 0 TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT • 0 OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL ----: 0 sf VALUE..$: 0 REAR : 0 — ------ PLUMBING — — - --- - - - - -- SINKS • 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS • 0 LAVATORIES • 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0 TUB /SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 MECHANICAL FUEL TYPES— FURN ( 100K ..: 0 BOIL /CMP ( 31,9: 0 VENT FANS : 0 CLOTHES DRYERS: 0 FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS : 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS : 0 WOODSTOVES • 0 GAS OUTLETS...: 0 - ELECTRICAL -- - RESIDENTIAL UNIT - -- - -. SERVICE /FEEDER— —TEMP SRVC /FEEDERS -- — BRANCH CIRCUITS -- -- MISCELLANEOUS — - -ADD'L INSPECTIONS - 1m SF OR LESS: 0 0 - 200 amp..: 0 0 - 280 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0 201 - 400 amp..: 0 201 - 480 amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR : 0 LIMITED ENERGY.: 0 401 - . amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT : 0 MANF HM /SVC /FDR: 0 601 - 1m amp.: 0 6011 - av tarn, v: 0 MINOR LABEL - 10: 0 1080+ amp /volt.: 0 — PLAN REVIEW SECTION - -- Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR) =225 A.: ) 600 V NOMINAL: CLS AREA /SPC OCC: - -- — ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL ----------- B. COMMERCIAL- ---- — ---- _ — AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: .. BOILER • HVAC • LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL • OTHR: •• HVAC • DATA /TELE COMM.: NURSE CALLS TOTAL B SYSTEMS: 0 Owner: -- - - -- Contractor: — TOTAL FEES:f 85.86 ARTHUR GREEN SHINGLE MASTERS ROOFING 16070 SW ROYALTY PARKWAY 6327 SW CAPITOL HWY KING CITY OR 97224 0 214 PORTLAND OR 97224 Phone 0: 639 -8153 Phone B: 339 -9125 Reg B..: w This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. — REQUIRED INSPECTIONS ----- -- -- Misc. Inspection Final inspection Permittee Signature: _d2:3 a. sued ey: ► / • %. Call for inspection - 639 -4175 on OF TIGARD Recd B : 13125 SW HALL BLVD. Date Rec'd: 7 TIGARD OR 97223 RE- ROOFING PERMIT APPLICATION Date to PE: — V - 503 - 639 - 4171 X304 Incomplete or illegible applications will not be accepted • Date to DST: -- F- 503 -684 -7297 Permit #: /-46T - Y -O (& Called: Name of Dev opment/Business :;STEP: ....;{ ! NEW ROOFING ASSE Ma .:. ; :. di �� .e . : > :: : : :: a : i � te UBCA ` .ndiz<'t : » » : ::<-€ Street to # Please fill out applicable section and attach copy of roofing V Job Site 44 71..E f 5 w, f ty/t+�1 r ' W 4 ::Lis specifications. .. Bldg # ,City/Stte o / Zip tedA ssembly CIr l &Com.: e e:::, ;:> _:. > :::: >:: > >: <:::::: >: = >: N >:: >:: >:;::: Name / , 1 1. Specification #: / I. _5 Owner Mailing Address 2. Manufacturer. (/ I.'A' €.1..` - C t P . iv./ AI C7 3 /10 , W,Rfri lti 1� k4 A C•ty/State zip Phone 3a. UL Classification: A Na ` , Listed UL Building Materials Directory Page #: ! , l f� 1� l 1`r - C ( J i < (OR) Roofing Mailing Address ��_ 3b Wamock Hersey : ( Contractor / 5 vi, Cap i�(,0i� N 1+, ri. , � ',Prior to issuance C zip 3b Listed Wamock Hersey Directory Page #: applicant must ►T() j? A' op 47101. (PROVIDE COPY OF ASSEMBLY) provide a copy of P,bggnne # _ all contractor A j •. '7 / V I/Fax B. ICBO Research #: licenses if Sta a on r.Co tr. Board # 1:, �� p. Dat� expired in COT A5 '( r l /`� y DATED: database) CO Bu T ex or Metro Lic # p.Date _ (PROVIDE COPY OF ASSEMBLY) /(/ J en/ p.-ate -1 l. _ 3ttEEDtNG' INFCl RMATIQIE<>?>»>' :.::.::..::.::;::<: ::;::;:. >:.::.:. >: C. SPECIAL PURPOSE ROOFING: WOOD SHAKE Building -. pe Of Use: (circle one) (*review required by plans examiner) ,. (SF SFA COM MF Building - Type of Construction: VALUATION OF PROJECT $ 431 v \)i g /1 NYE. qi ki Existing Deck type: Permit fee based on valuation Combustible ( ) Non - Combustible ( ) (see chart on back) $ SD , 5-CD ....COMfiliEERCEiAP' : >:»::::>:<><>:>:<: >:: > <`:<:<: >:: >:: > °N:: » =:> 0 escx!,: >::.:;;;: :;::::; ....:;<;:<;:: >�r!?:ed�.apprapr? ate; box�,:<:::»:::;:: ::::::: > >::<:<: >: >::;:::< ::::: 5 /o State Surcharge $ v� 3 :3 RE -ROOF (circle A or B) 2 3 . A. Existing roof covering to be REMOVED and deck 65% Plan Review $ 3 d ' repaired - (PROCEED TO STEP 2) /, B. Existing roof covering to REMAIN: note applicant TOTAL $ t S' g° must submit an engineer's review of the roof structural • elements. Review shall bear the seal (or stamp) of the architect or engineer licensed in Oregon. i" I acknowledge that I have read this a pplication and that (PROCEED TO STEP 2) the information given is correct; that I am the owner or :: STEP>:9' . >::�: = ?>:= . ..:::..::::.::.. .... ENTtAL ::::;:;:;;: 4NLY ::: ;:;;;::.::; -> < : ;.; :.;.;;:<.;::.:.:<.;:.;:;. >: authorized agent of the owner and that the plans (if applicable) are in compliance with the Oregon State laws. A REPAIR (MAJOR) Permit required ONLY when spaced sheathing is covered by solid sheathing. Signature o Owner /Agent , Date I SUBMIT THREE (3) SETS OF PLANS SPECIFYING. H (46/1P �_/ � ^ 9 A. Roof area & nearest street. B. Attic vents - Providel sq. ft. for each 150 sq. ft of attic Contact Person Name T elephone space & vents shall be located in the upper 1/3 of the roof. � 9' -" / 7� Provide 1 sq. ft. for each 300 sq. ft. when eaves & attic e,ilz..re.,64.4)0_4_ vents are provided. • _ Cbu_ViL S 6908 1:voof.cod 1/97 (DST) CITY OF TIGARD BUILDING PERMIT FEES TOTAL PLAN STATE BUILDING VALUATION OF PERMIT F.L.S. REVIEW TAX PERMIT PROJECT FEES (40 %) (65 %) (5 %) FEES 1-1500 25.00 10.00 16.25 1.25 52.50 1,501-1600 26.50 10.60 17.23 1.33 - 55.66 1,601 -1,700 28.00 11.20 18.20 1.40 58.80 1,701 -1,800 29.50 11.80 19.18 1.48 61.96 1,801-1,900 31.00 12.40 20.15 1.55 65.10 1,901 -2,000 32.50 13.00 21.13 1.63 68.26 2,001 -3,000 38.50 15.40 25.03 1.93 80.86 3,001 - 4,000 44.50 17.80 28.93 2.23 93.46 4,001 -5 000 50.50 20.20 32.83 2.53 106.06 5,001 -6,000 56.50 22.60 36.73 2.83 118.66 6,001 -7,000 62.50 25.00 40.63 3.13 131.25 7,001 -8,000 68.50 27.40 44.53 3.43 143.86 8,001 -9,000 74.50 29.80 48.43 3.73 156.46 9,001- 10,000 80.50 32.20 52.33 4.03 169.06 10,001- 11,000 86.50 34.60 56.23 4.33 181.66 11,001- 12,000 92.50 37.00 60.13 4.63 194.26 12,001-13,000 98.50 39.40 64.03 4.93 206.86 13,001- 14,000 104.50 41.80 67.93 5.23 219.46 14,001- 15,000 110.50 44.20 71.83 5.53 232.06 15,001- 16,000 116.50 46.60 75.73 5.83 244.66 16,001- 17,000 122.50 49.00 79.63 6.13 257.26 17,001- 18,000 128.50 51.40 83.53 6.43 269.86 18,001- 19,000 134.50 53.80 87.43 6.73 282.46 19,001- 20,000 140.50 56.20 91.33 7.03 295.06 20,001- 21,000 146.50 58.60 95.23 7.33 307.66 21,001-22,000 152.50 61.00 99.13 7.63 320.26 22,001- 23,000 158.50 63.40 103.03 7.93 332.86 23,001- 24,000 164.50 65.80 106.93 8.23 345.46 24,001- 25,000 170.50 68.20 110.83 8.53 358.06 25,001- 26,000 a 175.00 70.00 113.75 8.75 367.50 26,001- 27,000 179.50 71.80 116.68 8.98 376.96 27,001- 28,000 184.00 73.60 119.60 9.20 386.40 28,001- 29,000 188.50 75.40 122.53 9.43 395.86 29,001- 30,000 193.00 77.20 125.45 9.65 405.30 30,001- 31,000 197.50 79.00 128.38 9.88 414.76 31,001- 32,000 202.00 80.80 131.30 10.10 424.20 32,001- 33,000 206.50 82.60 134.23 10.33 , 433.66 33,001- 34,000 211.00 84.40 137.15 10.55 443.10 34,001- 35,000 215.50 86.20 140.08 10.78 452.56 35.001- 36,000 220.00 88.00 143.00 11.00 462.00 36,001- 37,000 224.50 89.80 145.93 11.23 471.46 37,001- 38,000 229.00 91.60 148.85 11.45 480.90 1:1roof.cod 1/97 (DST) `) 1 ` i !s 12 ROOF COVERING MATERIALS (TEVT) ROOF COVERING MATERIALS MEVTI 13 • _ PREPARED ROOF COVERING MATERIALS (TFWZ)— Continued PREPARED ROOF COVERING MATERIALS (TFWZ)— Continued • Aspbsh gloss met aN ro ngtem.Mr installation u doss A prepared ot cowering when vsed with RElNKE SHAKES INC, HEBRON NE 68370 RB481 [N ' • • • minimum Type 30 underlaymenl overexisting wood shingts roof Formed sheretlnum shakes or installation es Claes A moored roof covering when applied with Asphalt glass met shingles. Classified in accordance with ASTM 03412. Including tsar resist. an ihtedayment of UL Classified Typo I8 asphalt organic felt of UL ClassiRod shingle under ayment - anme. (resulting In the dock being towered with 2 Myers of felt) when applied aver minimum 5f8 in. UL Classified Type X gypsum or Georgla-Pacific Corp. 'Dens Deck Orerlaymenr with ell 'pints step s HERBERT MALARKEY ROOFING CO, PORTLAND OR 97217 R4299 (N) gered minimum of 8 M. from the plywood joints applied tastily to m,timrm 15/32 plywood docks. Asphalt glass fiber met shingles, for installation as Class A prepared roof coverings Asphalt SEKISUI AMERICA CORP, TORRANCE CA 90505 Al 1277 (S) gloss flbermst shingles. for Installation as wind resistant roof coverings Modified asphalt glees fiber mat shingles rosy be Me 'tannage Also avaLrated at wind mho- Gmens tiles, designated "Brook Roofing Tilos,' for installation ens Class A psepol roof cover - hies up to 1 10 mph ing when mechanically fastened over minimum .16/32 in. Thick plywood docks. se an option. one Asphalt glass fiber mat sheet rooting, for installation es Clan C prey/red root coverings. or more lowers of Typo 15 asphahaaturated organic -loll undarlymem rosy be aced. HOOVER TREATED WOOD PRODUCTS INC, THOMSON 8A R10680 (N) SIPLAST INC. IRVING TX 75039 815189 IN) • 30824 Copper clad aaphah glees fiber mat alingtss for installation as Oast A prepared roof coverings Fisoretardsnt emoted rod cedar wood shakes. for Installation as Class C prepared roof Coverings for installation on minimum 16/32 Irs thick plywood decks. • when provided with on interteyment of at least one layer of Classified Type 30 asphalt saturated or Copper egad asphalt glass fear net shingles for installation es wind resistance roof coverings.. genic felt I `, , . Fke.remrdant treated red cedar wood ah hues, for Inatefatiao as Clam B prepared sod cowering' when provided with an undirlsymeat of et host ant layer of Classified Typo G3 Mineral Surfaced T AMKO ROOFING PRODUCTS INC, JOPUN MO 64801 R2919 [N) .. C:, Boss /Cep Sheet. • Asphalt organic-led sheet roofing and Mingles. for laalalledon as Class C prepared roof cover- • z Flrefetardant treated red cedar wood Manske, for installation as Class C prepared roof covering ings. Asphalt arganlo alt shingles. for Installation as wind resistant goof comings. - 7 rotten provided with an underlaymert of at least one layer of Classified Type 15 asphalt eaterated Asphalt glees fiber mat shingles for installation as Class A prepared roof suitable for organic felt. Installation on minimum 3/8 In- thick plywood decks ' Asphalt glass fiber mat shingles for instegetion as wlad•resistaat roof crownitgs el F- IKO INDUSTRIES LTD, BRAMPTON ON CANADA 86765 (NI Asphalt glass fiber mot shingles. Classified in scsordsnce wltb ASIU 03462. aniotdl M tee for installation as Class C root coverings Asphalt or snic•leh shin Asphalt glans fiber mat shingles, Classified In accordance wish CAN/CSAl23.5d.140. Asphalt or ; :- g ing 9 Asphalt glass mat shingles, fat Installation as Class A prepared cavering when used witty was. lot installation as wind resistant goof coverings. minimum 30 undade Type Asphalt gloss jibes mat shingle*, for installation as Class A prepared roof sowings. Y yment over existing wood shingle roof. • Asphalt glass fiber mat shingles. for installation as wind resistant roof coverings TEGO LA CANADESE S P A, TR EVlSO ITALY R 14852 (11) IKO MFG INC. WILMINGTON DE 19809 R9806 (NI hlonossb asphalt glass fiber mat topper clad shingles. los Instalestian as Class A prepared roof r t. Asphalt orgenim•fNt Mlagha for installation as Class C prepared roof osvadngs. coverings. Suitable for installation on minimum 3/8 in. thick plywood decks witty uudarhymant such Asphalt organic loll s hinglas, is ins teBet i on »wind redstarts rod coverings. as asphalt saturated felt or shingle undertaymenn Classified by UL as ■ prepared roofing accessory Asphalt glass -fiber met shingies.for insesfstiop es Class roof s A prepared ro coverings. and on minimum 1/2 in. thick pywood docks without underbymerrL • Asphalt glass -fiber mat shingles. for instafatoh as wind resistant roof coverings. U S INTEL INC. PORT ARTHUR TX 77843 R15391 [N) • • INTERNATIONAL EXTERIORS LTD, RICHMOND BC R11951 IN) Asphalt glass fiber not shingles foe installation es Class A prepared roof coverings. Suitable for i I CANADA V7A 4T7 installation on minimum 3ie M. plywood decks. Asphalt glass fiber mat shingles. for installed= » i Formed aluminum shingles for iratalletittn as Class' B prepaed soot coverings when appliedMat wind resistant roof meanings. Meddled asphalt glass fiber mat shingles. foe Installation as Class A an underlaymeat of Classified Type G3 Owens-Corning Fiberglas Prima Cep May also be applied prepared roof coverings. Srrfsoble for 'intonation on minimum 318 M. plywood decks. . over 1/2 In. rain plywood roof decks. These coverings have been Investigated for firs resistance only. Local authorities having jurisdiction should be consulted befo-a Installation. VAIL METAL SYSTEMS LLC, VAIL CO 81858 R18043 (N) D Formed steal or copper shingles. for installation as Class A prepared roof covering when installed X C MASONITE CORP, CHICAGO IL 80608 89553 (N) is acoordance with manufacturers installation instructions. Suitable for we over 15/32 in. thick ply- z i t Firs-retardant treated hardboard adages, gles, for installation as Class C prepared roof coverings. wood decking covered wish one ply Type 30 asphalt saturated felt base sh eet followed by either 1/ The shingles Cr. to be provided with so uadsriayntent of at least one layer of Type 30 (30 lb) or 2 kr. thick TypeX gypsum board or 1/4 In thick Georgia Picnic Cam. 'Deal Clacks" overhymsnr board two layers of Type 15 116 lb) sailfish organic hit and a .016 in. thick metal lab is to be used under Formed steal each butt joint during shingle application. For or copper shingles. for iastalianos as Chu C prepared roof covering 3 i n . installed t Firesatardsnt treated hardboard shingles. for installation as Class 8 prepared roof coverings wood decking covered ed with minimum of mturers installation tw o Instructions. T ype 15 asphalt saturated Suitable far u ov er 11 or kt thitic ply. The shingles era to be provided wilt an underleymem of two layers d Type G•2 cap sheet and a od deking ed wit two plies felt or one ply Type .018 in. thick metal tab Is to be used under each butt joint during shingle appii amed cellon. 30 t eetursted bit Fmed atael or capper shiaghs, for installation as wind resistant root coverings when installed • in accordance with manufacturers installation instrvctIons. These shingles troy also bear the etate- NORTHERN GLOBE BUILDING MATERIALS INC, WHITING RB528 (N) insist •• Also evaluated at wind velocities up to 110 mph . IN 48394 - • Asphalt organics-felt shingles, for installation as Class C prepared coverings. Aapbalt organ- - in fol l shingles, for Instigation s!>ttant -- PREPARED RO OFING ACCESSORIES (TGDY) • r .— OWENS- CORNING FIBERGLAS CORP, TOLEDO OH 43859 82453 [NI The materials covered under this category are intended for use at an accessary component of a • Asphsh glean fiber mat sheaf roofing. for installation as Clues C prepared roof coverin gs. prepared roof covering system. • Asphalt ghee fiber mat shingles, for Mendelian es Class A prepared tuna coverings. Su/table for Thew epead» are to be installed in semoedanot whit the applkatlon Instructions included with s • • installation on minimum 3/8 In. thick plywood decks with undadayroent such es esphait saturated the basic prepared roof covering notarial. , felt or shingle undMayment classified try UL at s prepared roofing accessory and on minimum { /2- LOOK FOR CLASSIFICATION MARKING ON PRODUCT . • thick plywood decks without undarfayment Asphalt glees fiber mat shingles, for installation as Class The Classification Markin of Underwriters Laboratories. Inc. II C prepared mot coverings on minimum 3/B thick plywood desks *elbow undenfayrnenl Asphalt or container i the only method provided by (shows below) on the roll, package, pless fiber mat shingles for installati on as wind resistant roof coverings. Y y Undewriters Laboatories Inc. to identify prepared roof - fU CD French method shingle. Class A, for use In reroofing. ing accessories which have been produced under ire Claseifieaalon and Follow -Up Services W Asphalt glaseanat shingles. classified in accordance with ASTI* 034 62, including seer resist- PREPARED ROOFING ACCESSORY ones. CLASSIFIED BY m L ��--� UNDERWRITERS LABORATORIES INC, • PA8C0 ROOFING PRODUCTS, DIV OF PACIFIC COAST R11271 (N) 'AS TO AN EXTERNAL FIRE EXPOSURE ONLY A WHEN APPLIED IN ACCORDANCE WITH INSTRUCTIONS - -- - "BUILDING" , SAGRAMENT11 -CA- 9684.6-- ..'••. — ... - - --- _._. _ .... ... 1LLClunED]4[uH7JdEEBiEP�R1n aonFtNe ..... - Asphalt organic-felt sheet roofing and shingles, for installation as Class C prepared roof cover - Ings. Asphalt glass met shingles. for installation as Class A prepared roof coverings. Suitable for APACHE PRODUCTS CO, MERIDIAN MS 39301 814238 (NI Inatrtletion on minimum 3/8 in. thick plywood decks. Asphalt glass mat shingles, for installation as wind resistant roof coverings. Wind resistance has also bean evaluated at wind velocities up to 110 - Apache Nall•Llne•' Roof Insulation for use in the installation of Cebtex Corp. Class A asphalt mph. glass fiber mat shingles and Class C asphalt organic felt shingles • nmu a-ne a•A OW erns ea 131 nom er•7 LOOK FOR MARL( ON PRADIIE'.T / / OCi CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: 0 — I '— ' / . . P.M. MST: q / ' (/ /K�� Location: _, I I A �J���l�!/.� __ ' A l/ BUP: Tenant: 0 / : Suite: / dg: MEC: Contractor: q 3/L t" Phone: //,, PLM: Owner: ( iYl Ph 5 37,---6 X V 6 ELC: ELR: SIT: BUILDING : LDG ' on't) PLUMBING MECHANICAL ELECTRICAL SITE Site • os : eam . Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Fhj i. - ° oo UndFl/Slab Rough -In Ceiling Water Line Slab • rammg Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt e — Approved Approved Approved Approved Approved Appr /Sdwlk roved Not Approved Not Approved Not Approved Not Approved IN FINAL FINAL FINAL FINAL • • O Call for reinspect'. 0 Reinspection fee of $ required before ext inspection O Unable to inspect Inspector: fr Date: /� /a ? . sp Page of /<C— CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 I I 7 • Date R uested: S 1 1 Lt l 4 1 ,/ ill �1 / A / M. P.M. V MST: Location: I(e 0 7 0 P K BUP: Tenant: Suite: Bldg: MEC: Contractor: Phone: a9 /- 4 7 so (6'L.) PLM: Owner. Phone: 5 9 - (e 0 (p ELC: / ELT: SIT: BUILDING BLDG (con't) PL I ING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation ` (l In ation Sewer Hood/Duct Reconnect Vault Bsmt Damp (J Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear hea Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt ro Approved Approved Approved Approved Appr /Sdwlk v�d� roved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL cZ9 ' ` / , e , 06 € / C# �C e---' 1Y'✓061 r9 5' ‘.`-e97 , O. G ti 0 k 3 4, 9 ' ,- ( r 0 Call for re's,. ,' O Reinspection fee of $ fired before ext inspection O Unable to inspect Inspector: 0 _ Date: C7( l 7 Page of